I am getting the feeling this "openness" is nothing but a dog and pony show. Did the IOM change any panel members based on feedback. Have they made any changes to their process based on feedback from anyone? I know I asked them to allow review of the final draft by outside experts and advocates before the final draft goes out. They refused. I asked them to allow telephone testimony. They refused. I asked them to include more experts. They refused. What about you? Have you seen any willingness to do anything other than listen politely and then do what they had planned in the first place?